taseer men's health

BENT OR CURVED PENIS

Penis curvature, or a bent penis, is
one of those unpleasant problems plaguing men, filling
them with anxiety and driving away peace of mind.

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A visible curve in the penis is bound
to make any man less eager to take down his pants in
front of a lady. What if she starts laughing? What if
she recoils from it? Nobody likes to be seen as a freak
or as something to be laughed about. Although the man in
question is in no way responsible for this problem,
others can’t help but see this as a dubious physical
feature.

1.
A bent or curved penis can damage a sexual relationship
by:

2.
Causing discomfort to the female partner during
intercourse

3.
Creating pain and discomfort for the man during erection
or ejaculation

4.
Damaging the man's self-esteem and sexual
self-confidence

5.
Disrupting the couple’s physical and emotional bonding
and relationship

Factors that commonly cause a bent penis

Unfortunately, the factors that cause
a bend or curvature to develop in the penis are totally
outside the control of the man to whom this condition
occurs.

Men are sometimes troubled by the
notion that the problem has somehow been created by
masturbation. This leads to feelings of guilt and
remorse, causing even more damage to sexual
self-confidence and, consequently, sexual performance.
It is essential to clearly understand that masturbation
does not cause any physical deformity of the penis and
is in no way harmful to health. Masturbation is normal
and generally beneficial.

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Penile curvatures are caused either by natural factors
during the growth of the boy through adolescence to
manhood or by a condition knows as Peyronie’s disease.

1.
The natural curvature occurs when the two chambers of
the penis (corpora cavernosa) develop at different rates
through the years, thus bending the penis toward the
slower developing chamber. The reasons for this uneven
development are not known and this tendency cannot be
forecast or prevented. However, there are treatments
available for correcting the problem once it occurs.

2.
Peyronie’s disease is a condition named after Francois
de la Peyronie, surgeon to Louis XIV of France, who was
the first man to describe a treatment in 1743. While the
cause of this disease is not well understood, its
mechanism is perfectly clear.

The “tunica albuginea” is the tough
layer of connective tissue that contains the sponge-like
Corpora Cavernosa. For reasons unknown, scar tissue
begins to form in the “tunica albuginea”, which prevents
the normal expansion of the penis during erections and,
in time, bends the penis to one side or the other.

Although the disease is somewhat
painful at first, the pain eventually goes away on its
own. The only remaining effects of this disease are the
curvature, which is visible when the penis is erect, and
possibly a shortening of the penis in the flaccid state.

Symptoms

1.
Could feel a hard lump or plaque under the skin

2.
A lump may either occur suddenly after trauma, or take
months to develop.

2. Surgery -- especially around the
genitals (penis, prostate, testicles) and pelvic surgery
(area of the body between the two hips)

3. Genetics (abnormality of genes) --
there may be an association with another disease known
as Dupuytren's contraction (scarred and curved 4th
finger) linked to a protein known as HLA-B27 antigen

Other causes for a bent or curved penis.

Restrictive
Clothing - When boys get erections, their penises
are restricted inside their tight underpants. They often
bend their penises over to the left or right to hide the
erection in their pants. This affects the development of
their young penises. Blood can flow only through the 1
side of the spongy tissue and1 side of the penis
develops better.

Injury -
Acute or repetitive trauma (hitting or bending) causes
localized bleeding inside the penis. This leads to
fibrin deposition (scar tissue) in the tissue space that
accumulates after additional trauma. Collagen is also
trapped and pathologic fibrosis follows and even the
formation of calcium deposits. In addition, with age
there is a decrease in the elasticity of collagen fibers

14.
Prostaglandin E1, and then use a machine called a
Doppler (uses sound) to see the internal structure of
the penile cavities.

15.
Calcium deposits can be seen in old scars.

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Risk Factor

1. Repeated trauma

2. Urological or pelvic
surgery

3. Vigorous sex especially
when female is on top and bending backwards

4. Dupuytren's contraction

CURVATURE OF THE PENIS

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Peyronie's disease is a severe
curvature of the erect penis. It's named after an
Italian physician to King Louis XIV of France. This
physician was the first to note the disorder back in the
1700s. While it is somewhat common, it is not often
mentioned.

A minor bend in the erect penis is
perfectly normal, as few penises are straight as an
arrow. In some cases of Peyronie's, however, the penis
can form a "J" or a corkscrew, making intercourse
impossible.

What causes a curved penis?

The cause of Peyronie's disease is
unknown. Some physicians theorize the cause of the
curvature may be from trauma to the penis, perhaps if
the penis is bent backward during rough sex. The injury
causes an inflammation in the tunica, and subsequently
leads to scarring.

There are other theories, and some
reports suggest that men who take beta-blocking
medications for high blood pressure develop Peyronie's..

How is the penis
constructed.

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The penis is composed of three
cylindrical cavities. The two on top are called the
corpus cavernosa, and the one on bottom the corpus
spongiosum, which contains the urethra (the tube that
urine flows through).

The two top corporal cavities expand
to trap and hold the blood that produces an erection in
the male. The bottom body, corpus spongiosum, functions
mainly for the passage of urine. Each of these corporal
bodies is surrounded by a very elastic covering called
the tunica albuginea.

On top of the two corporal cavernosa
are the superficial nerves and blood vessels of the
penis.

Why does the penis curve?

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In Peyronie's disease, the normal
elastic tissue of the tunica is replaced by scar tissue.
Normally with erection the elastic tissue of the penis
expands and elongates symmetrically resulting in a
straight erection. Because the plaque, or scar tissue,
is not elastic, but rather hard, it will not stretch
with erection.

The disease starts as a small bump or
constriction on the shaft of the penis below the skin,
which expands to form a flat deposit that's sometimes as
large as the diameter of a silver dollar. This "plaque"
invades and replaces the elastic covering of the penis
with inflexible material. When a man with Peyronie's has
an erection, the plaque does not expand, so the penis
curves to one side.

How does a curved penis affect sexual
intercourse?

A third of men with Peyronie's have
pain with their erections. A few men with Peyronie's
become impotent. In some cases, the head of the penis
does not fill with blood.

Because inflammation is initially
associated with the scar tissue, there can be some
discomfort with erection and distension. Many patients
complain not only about the curvature of the erection
but the loss of length and girth. These are all results
of the inelastic tissue and lack of distention that
results.

Most patients with Peyronie's disease
can continue to function sexually with the curvature in
the penis. Rarely, some patients with greater distortion
are unable to have satisfactory sexual intercourse.

Does a curved penis cause impotence?

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Recent studies indicate that some men
with Peyronie's disease lose the ability to trap the
blood in the penis. It can, however, be difficult to
distinguish the man who has a leakage problem from one
who is quite anxious about his penis and loses his
erection secondary to anxiety and stress.

Most of the time the plaque is on the
top surface of the penis causing an upward bend.
However, plaques can occur at any point on the penis. In
some patients the penis beyond the plaque will not
become as rigid.

How common is a curved penis?

Peyronie's disease is an extremely
common ailment. At the Male Health Center, physicians
see about five patients a week with this problem.

Most patients are middle-aged, though
the youngest patients we have seen are in their
twenties, and there are a number of still sexually
active men in their eighties with the disease.

Some men first notice the sudden
onset of a curved erection even though the previous
erection was straight. In other men, the curvature may
be slight at first, but then it keeps getting worse.
Eventually, the curve stops, and gets no worse. In most
cases, the active process of Peyronie's disease lasts
less than a year. At the time the process stops, the
scar tissue may remain or in some cases disappear.

How can you straighten a curved penis?

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Treatment

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